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2014 年至 2019 年中国中部地区鸡源大肠杆菌中黏菌素耐药基因 mcr-1 的流行情况。

Prevalence of colistin resistance gene mcr-1 in Escherichia coli isolated from chickens in central China, 2014 to 2019.

机构信息

Key Laboratory of Prevention and Control Agents for Animal Bacteriosis (Ministry of Agriculture and Rural Affairs), Institute of Animal Husbandry and Veterinary, Hubei Academy of Agricultural Sciences, Wuhan, China; Hubei Provincial Key Laboratory of Animal Pathogenic Microbiology, Institute of Animal Husbandry and Veterinary, Hubei Academy of Agricultural Sciences, Wuhan, China.

Key Laboratory of Prevention and Control Agents for Animal Bacteriosis (Ministry of Agriculture and Rural Affairs), Institute of Animal Husbandry and Veterinary, Hubei Academy of Agricultural Sciences, Wuhan, China; Hubei Provincial Key Laboratory of Animal Pathogenic Microbiology, Institute of Animal Husbandry and Veterinary, Hubei Academy of Agricultural Sciences, Wuhan, China.

出版信息

J Glob Antimicrob Resist. 2022 Jun;29:241-246. doi: 10.1016/j.jgar.2022.03.024. Epub 2022 Apr 9.

Abstract

OBJECTIVES

This study investigated the prevalence and characteristics of mcr-1-harbouring Escherichia coli isolated from chickens in central China from 2014 to 2019.

METHODS

A total of 1132 E. coli isolated from 1647 chicken swabs were analysed for colistin susceptibility by broth microdilution method and prevalence of mcr-1 gene by PCR. The colistin-resistant E. coli isolates were typed by multi-locus sequence typing (MLST) and tested with 12 antimicrobial agents. The transconjugation assay was conducted for the mcr-1-positive isolates using the transconjugant E. coli C600.

RESULTS

Of the 1132 E. coli isolated from chickens, 131 isolates (11.6%) exhibited colistin resistance, and 51 isolates (4.5%) were mcr-1 positive. The mcr-1-positive rate was quite low in 2014 (2.3%) and 2015 (1.7%), increased to peak in 2016 (12.6%) and 2017 (11.4%), and then decreased significantly in 2018 (1.7%) and 2019 (0.9%). The 131 colistin resistant isolates were assigned to 66 unique sequence types (STs), 27 of which contained mcr-1-positive isolates. Compared with mcr-1-negative E. coli, mcr-1-positive E. coli showed higher resistance rates to nalidixic acid, ciprofloxacin, ceftriaxone, cefotaxime, and tetracycline. Furthermore, 30 of the 51 mcr-1 positive isolates transduced their mcr-1 gene into E. coli C600, and 13 of the 30 transconjugants carried more than one replicon types.

CONCLUSION

The mcr-1 positive rate varied enormously during 2014-2019 in central China. The ban on colistin likely decreased the dissemination of mcr-1 in E. coli isolates from chickens. Multidrug-resistant trait is observed in mcr-1 positive E. coli isolates and can be transferred into other transconjugants.

摘要

目的

本研究调查了 2014 年至 2019 年中国中部地区鸡源携带 mcr-1 的大肠杆菌的流行情况和特征。

方法

采用肉汤微量稀释法检测 1647 份鸡拭子中分离的 1132 株大肠杆菌对黏菌素的敏感性,采用 PCR 方法检测 mcr-1 基因的流行情况。对黏菌素耐药的大肠杆菌分离株进行多位点序列分型(MLST)并进行 12 种抗菌药物的药敏试验。采用转导大肠杆菌 C600 对 mcr-1 阳性分离株进行转导试验。

结果

从鸡中分离的 1132 株大肠杆菌中,有 131 株(11.6%)表现出对黏菌素的耐药性,有 51 株(4.5%)为 mcr-1 阳性。2014 年和 2015 年 mcr-1 阳性率较低(分别为 2.3%和 1.7%),2016 年和 2017 年达到高峰(分别为 12.6%和 11.4%),2018 年和 2019 年显著下降(分别为 1.7%和 0.9%)。131 株耐黏菌素的分离株被分配到 66 个独特的序列型(STs)中,其中 27 个含有 mcr-1 阳性分离株。与 mcr-1 阴性大肠杆菌相比,mcr-1 阳性大肠杆菌对萘啶酸、环丙沙星、头孢曲松、头孢噻肟和四环素的耐药率更高。此外,51 株 mcr-1 阳性分离株中有 30 株将其 mcr-1 基因转导至大肠杆菌 C600,其中 13 株转导子携带一种以上的复制子类型。

结论

2014 年至 2019 年期间,中国中部地区 mcr-1 阳性率差异很大。对黏菌素的禁令可能降低了 mcr-1 在鸡源大肠杆菌分离株中的传播。mcr-1 阳性大肠杆菌分离株表现出多药耐药性,可转移至其他转导子。

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